University Registration Form

University(*)
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Department(*)
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Contact Details

Name(*)
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Email(*)
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Telephone No.(*)
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Postal Address
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Accounts' Details

Purchase Order Number
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If your Accounts contact details are different to the main contact above, please tick the following box:
Accounts Contact Details
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Name
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Email
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Telephone No.
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Postal Address
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Game Details

Approx. No. of Students(*)
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Game Start(*)
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Game End(*)
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Game Format(*)

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Any other infomation
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Please show your're not a robot
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Please check that all the information that you have provided is correct, before clicking on the 'Send' button.